The Acute Care Surgery Fellowship is offered through the University of San Francisco Fresno, department of General Surgery Program. This is a two-year approved AAST, Acute Care Surgery Fellowship based at Community Regional Medical Center (CRMC) in Fresno.

Rotations: (includes those needed for ABS Added Qualifications in Critical Care)
Surgical Intensive Care Unit
Trauma Intensive Care Unit
Burn Unit
Cardiothoracic Surgery
Medical Intensive Care Unit
Pediatric Critical Care Unit (Children Hospital Central California)


Community Regional Medical Center (CRMC) is the only Level I Trauma Center serving California’s Central Valley with a population of 2 million.   CRMC is 1 of only 13 Level I Trauma Centers in the state of California. The trauma service is very active, admitting more than 4,800 trauma patients per year (80% blunt, 20% penetrating), one of the busiest in California with approximately 20% of these requiring ICU admission.  CRMC is a 650 bed facility and also contains the regions only comprehensive burns center as well as 66 ICU beds.

Children’s Hospital Central California (CHCC) Pediatric Intensive Care Unit cares for more than 1,000 children and their families each year. The unit is one of the largest in the country based on bed capacity the severity adjusted mortality rate Children’s PICU is ranked in the best 10% in the country.

The goal of the Fellowship is to enhance skills in the management of critically ill and injured patients. For the patient with traumatic injury, management begins with initial evaluation and resuscitation and operative management and continues until discharge. The Fellow is involved in comprehensive critical care management issues, such as multidisciplinary committees and protocol development.


Research opportunities: 
Although the clinical care and didactic instruction are the backbone of this experience, the Fellow concurrently participates in research and administrative activities. The Fellow is expected to take advantage of the wealth of clinical and trauma registry data available for clinical research. Facilities and opportunities for laboratory investigations are also available.  In addition, the ACS Fellow is specifically involved in graduate (housestaff) and undergraduate (medical student) medical education.  It is anticipated that this fellowship experience will result in a well-rounded surgeon who has the tools for leadership positions in Acute Care Surgery and who has learned to function in an intensive care unit (ICU), providing quality and effective care.  The fellow will attend the American Association for the Surgery Trauma annual meeting and is expected to complete a research project of their choice that can be presented/published by the end of their fellowship training.    



Fellow 2013-2015


Stephen Hafertepen, MD
Medical School: West Virginia University School of Medicine

Residency: : University of San Francisco Fresno General Surgery Program                                    


Fellow 2014-2016  

Shaina Schaetzel, MD
Medical School: University of North Dakota

Residency: Medical College of Wisconsin, General Surgery                                      


The fellowship has strong Faculty support with 9 surgery faculty members board-certified in surgical critical care.


James W. Davis, MD, FACS, Program Director
Margaret M. Wolfe, MD, FACS, Surgery Program Director
Amy Kwok, MD, FACS
Krista L. Kaups, MD, FACS, Surgical Critical Care/Trauma Program Director
John F. Bilello, MD, FACS

Jennifer Hubbard, MD, FACS
Ricard Townsend, MD, FACS
William J. Dominic, MD, FACS
Lawrence P. Sue, MD, FACS


Recreational opportunities:

Fresno County where beauty meets rich heritage.  As the fifth largest city in the state of California, Fresno is one of 15 cities in the county which makes a perfect destination for you to enjoy big city amenities with small town charm.  With three world renowned National Parks, Yosemite, Sequoia and Kings Canyon only an hour in a half driving distance.   Fresno is centrally located, with an approximate three hour drive to San Francisco, Los Angeles, Monterey Peninsula and the central coast region around Morro Bay. For more information, click here.



For Information about our application requirements please see below. 
Residents interested in the Acute Care Surgery Fellowship can contact:


Program Director- James Davis, MD
Our program participates in the NRMP match for Surgical Critical Care sponsored by the AAST. Please visit the NRMP website for details. Applicants interested in our training program should send a letter of interest, current CV and three letters of recommendation. These will be reviewed in the month of June preceding the match. It is a highly competitive selection process and only files that are complete by the beginning of June will be considered for interviews.

Application for Acute Care Surgery Fellowship [Word] [PDF]

Fax Application to: (559) 459-3719

Kelley Medico-Montgomery                          James Davis, MD
Surgery Fellowship Coordinator                   Program Director, Acute Care Surgery Fellowship
Community Regional Medical Center          Email:
2823 North Fresno St.                                               
Dept. of Surgery 1st Floor
Fresno, California 93721
Office:  (559) 459-3722


Web address:
UCSF Fresno Medical Education Program web address:

Application Requirements:  ( Program Specific Information)
Minimum Employment Requirements
To be eligible for an appointment contract for residency training with “The University of California” all current or expected trainees must possess one of the following for the duration of all anticipated years of training:


  • be a United States citizen
  • be in possession of a green card
  • be in possession of an EAD (work permit)
  • possess an ECFMG –sponsored J-1 visa


The University does not sponsor H-1B visas. Please contact individual programs regarding their policy on sponsoring H-1B visas.


California Medical License
The State of California requires housestaff who meet the following criteria to have a license in order to continue training:


  • US Graduate- must possess a license by the 1st day of the 25th month of (all) US ACGME Accredited Post Graduate Training
  • Foreign/International Graduate- must possess a license by the 1st day of the 37th month of (all) US ACGME Accredited Post Graduate Training

Additional Information for Foreign Medical Graduates

The State of California requires that graduates of schools outside the U.S. or Canada obtain a “Postgraduate Training Authorization” letter authorizing residency training in California. The letter is valid for entry into a training program for one year. The expected start date for residency training must be before the letter expires (one year from issue date).

You must be in possession of an ECFMG (Educational Commission for Foreign Medical Graduates) certificate in order to commence residency training in the United States.  Please visit the ECFMG website at  for additional information on how to obtain certification.